• Physical Therapy Rehabilitation Science
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• v.2 no.1
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• pp.27-30
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• 2013

Objective: Low back pain is a primary of source of dysfunction and economic costs. Gluteus medius muscle co-activation and activity pattern change caused the low back pain. Active release technique (ART) is a patented, non-invasive, soft tissue treatment process that both locates and breaks down the scar tissue and adhesions. The purpose of this study was to assess the effects on chronic low back pain using ART on gluteus medius so that suggest usable treatment method for treating chronic low back pain. Design: One group pretest-posttest design. Methods: Twelve patients with chronic low back pain were participated in this study. Subjects in ART group were received 2 times a week for 3 weeks treatments with either ART on gluteus medius muscle trigger points. Outcome measures were conducted by pain intensity with a pain visual analogue scale and pressure pain threshold on gluteus medius. Results: Completion of the intervention, the visual analogue scale was decreased in ART group (p<0.05). Also pressure pain threshold was decreased in ART group (p<0.05). Conclusions: Our results suggest that the response to ART may be usable to treat low back pain. ART was presented to reduce pain level of low back in people with chronic low back pain. Further study is required to management for low back pain due to gluteus medius and more ART study.

• Journal of Korean Physical Therapy Science
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• v.15 no.1
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• pp.1-9
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• 2008

Background and Purpose : This study serves the purpose to present the effective way on back pain therapy for women during their pregnancy by comparing and analyzing the effects influencing on pain index, limits on daily life, and diminution of lumbar curve, when having treated for 6 weeks, dividing into therapy group, applied by decompression therapy on spine without unnecessary effects on the pregnant women and their fetus and the existent general physiotherapy group, applied on diminution of their back pain. Subject & methods : We made impregnate women of 30(25${\sim}$34years), as the subject of this study, who understood, and agreed with, this study, among pregnant women who were diagnosed as back pain. Pain intensity, limit index on daily life, and lumbar curve test, prior to experiment was implemented as paired t－test, comparison of the difference of average by each group before and after experiment was analysed as independent t－test, and statistical examination level was set up as 0.05. Results : The difference of average of pain and limit on daily life between the group, SDTG(spinal decompression therapy group), and the group, GPTG(general physical therapy group), before and after experiment was diminished as much as 44.4% and 16.79% each after completed 6 weeks' experiment, limit on daily life in both groups showed as much as 37.2% and 21.5% each, in the end, they statistically showed conspicuous difference(p<.05). Comparison of lumbar curves between both groups, SDTG and GPTG, before and after experiment, were diminished from -23.13${\pm}$4.85 to -15.66${\pm}$3.71, and there was no remarkable difference(p<.05). Conclusion : As, in this study, decompression therapy is more effective than general physical therapy with pregnancy low back pain in pain, limitation of daily life, lumbar curve.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.19 no.1
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• pp.49-54
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• 2013

Background: The purposed of this study is to examine the static and dynamic plantar foot pressure in chronic low back pain patients and normal adults. Methods: The subjects were divided into a group of 30 patients with chronic low back pain and a control group of 30 healthy persons. While static posture and dynamic posture at comfortable walking speeds, the low back pain group and the control group measured their plantar foot pressure and the trajectory of their center of pressure (COP) using the Matscan(R) system. Independent t-tests were measured to compare differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group. Results: In the comparison of differences in plantar foot pressure characteristics between the left side and right side of the low back pain group and the control group, the anteroposterior (AP) displacement of COP showed significant differences (p<.05). Although the low back pain group and the control group did not show any significant differences in leg length, weight distribution, mediolateral (ML) displacement of COP, static contract area, dynamic contract areas (p>.05), increases in the contract area values were shown in the hind foot in general. Conclusion: In this study, it was shown that patients with chronic low back pain were walking with short AP displacement of the COP as a compensatory action to avoid pain.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.2
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• pp.33-42
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• 2017

PURPOSE: This study aims to identify the immediate effects of thoracic mobilization according to segment on disabling low-back pain and the range of motion in patients with chronic low-back pain. METHODS: The participants were divided randomly into two groups: a group (N=12) with pain and disability between the 5th and 9th thoracic vertebrae (T5-T9) and a group (N=12) with pain and disability between the 10th and 12th thoracic vertebrae (T10-T12). The same experiment was conducted in both groups: 10 minutes of thoracic mobilization and 10 minutes of functional massage. The visual analogue scale (VAS) and range of motion measurements were applied to the participants in both groups. All participants were measured again immediately after the program was completed. RESULTS: In both groups, the VAS and range of motion measurements showed statistically significant improvement after the experiment (p<.05). No statistically significant difference was revealed between the two groups (p>.05). CONCLUSION: The results of this study confirmed positive and immediate effects of thoracic mobilization of patients with chronic low-back pain. But, no significant difference in the thoracic mobilization by segment between the two groups. Based on these results, thoracic mobilization could help to improve pain control and functional activity in patients with chronic low-back pain.

• Journal of Korean Physical Therapy Science
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• v.2 no.1
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• pp.393-404
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• 1995

The purpose of this review was to examine the clinical characteristics of patients who had a diagnosis of Myofascial Pain Syndrome(MPS). Myofascial pain is a painful condition of skeletal muscle characterized by the presence of one or more trigger points. A trigger point(TrP) is a focus of hyperirritability in a tissues. Of the patients with MPS, 21(44.7 %) were male and 26(55.3 %) were female. The mean duration of MPS was 9.6 months for males and 11.3 months for females. Trigger points with associated referred patterns of pain were found in muscles of the post neck(trapezius, infrasupinatus) and in quadratus lumborum muscle. Patients reported increased fatigue(87.2 %), tingling sensation(66.0 %), numbness(66.0 %), tension(55.3 %), anxiety(44.7 %), headache (59.6 %), pilomotor activation(59.6 %).

• PNF and Movement
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• v.2 no.1
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• pp.1-12
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• 2004

Purpose : The purpose of this study is to demonstrate the correlation of pain, stiffness, and physical function by analyizing the KWOMAC socre of the patients with degenerative knee OA, is the most common disease among senior population. Method : 100 degenerative knee OA patients, diagnosed at the hostpital or clinic located in Degu and Kyung-buk province were participated in the study. Result : This study results in following conclusions. 1. Degenerative knee OA patients complained the pain going up or down stairs, stiffness after getting up in the morning. immediately. 2. They also had significant difficulty ascending or decending stairs, getting in or out of car, rising from sitting, doing chores. 3. There was the high correlation among pain, stiffness, physical function. Conclusions : It may provide information to assess the ADL of knee OA patients and the exercise, outcome for their independent life effectly.

• Physical Therapy Korea
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• v.21 no.4
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• pp.9-14
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• 2014

Violinists tend to position the neck asymmetrically to hold the violin between the chin and the left shoulder. Asymmetrical neck posture may induce unilateral neck pain. Previous studies have suggested that individuals with unilateral neck pain exhibit reduced muscle strength of the lower trapezius, but no study has investigated violinists with unilateral neck pain. To this end, we recruited 18 violinists with unilateral neck pain for the present study in which the side on which neck pain was experienced, pain duration, and intensity were recorded. Lower trapezius strength was measured bilaterally in each subject using a handheld dynamometer. Significant differences in lower trapezius strength were evident between the ipsilateral and contralateral sides of neck pain (p<.05). No significant association between neck pain intensity or duration, and the extent of a deficit in lower trapezius strength, was evident (both p>.05). The association between the sides of weakened lower trapezius strength and neck pain was significant (p<.05). In conclusion, violinists with unilateral neck pain exhibited significantly less lower trapezius strength on the ipsilateral compared to the contralateral side of the pain. Unilateral neck pain more frequently involved the left side of the neck, which is used to stabilize the violin during playing. Thus, our study suggests that a possible relationship exists between muscle weakness in the lower trapezius and neck pain.

• The Journal of Korean Physical Therapy
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• v.24 no.6
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• pp.393-397
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• 2012

Purpose: We investigated to identify the effect of robo-horseback riding exercise (RHRE) on trunk muscle activity ratios for patients with low back pain. Methods: Twelve patients with low back pain and twelve healthy adults were recruited for this study. Subjects performed the RHRE with the neutral spine position. The amplitude of electromyography activity was recorded from the selected trunk muscles (internal oblique [IO], rectus abdominis [RA], multifidus [MF], the thoracic part of the iliocostalis lumborum [ICLT]). The ratios of the relative local muscle activity to the global muscle activity in abdominal and lumbar parts were calculated. Results: There were significant differences in the change values of the IO/RA and the MF/ICLT between low back pain (LBP) patients and healthy adults. The IO/RA ratio and the MF/ICLT ratio showed significant increase in LBP patients after training. Conclusion: The RHRE improved the trunk muscle activity ratio in patients with low back pain. The information presented here is important for investigators who use lumbar stabilization exercises as a rehabilitation exercise.

• Journal of the Korean Society of Physical Medicine
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• v.7 no.1
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• pp.29-35
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• 2012

Purpose : The purpose of this study was to investigate effect of the lumbo-pelvic stabilization exercise on relief of menstrual pain and premenstrual syndrome of the female university students. Methods : Thirty female students with dysmenorrhea were participated in this study. Subjects divided into experimental group(n=15) and control group(n=15). Experimental group were given lumbo-pelvic stabilization exercise and control group didn't have any application to exercise. Menstrual pain measured by VAS(Visual Analogue Scale) and premenstrual syndrome measured by MDQ(Moos Menstrual Distress Questionnaire) scale. Results : The experimental group were significantly improved menstrual pain and symptoms of premenstrual syndrome, but negligible changes were found in the control group. Conclusion : This study show that lumbo-pelvic stabilization exercise is beneficial intervention for decrease menstrual pain and premenstrual syndrome.

• The Journal of Korean Physical Therapy
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• v.29 no.2
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• pp.45-49
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• 2017

Purpose: This study was conducted to determine the effects of sling exercise on muscle activity and pain in patients with rotator cuff repair. Methods: This research evaluated 20 rotator cuff repair patients, divided randomly between 10 controls and 10 in an experimental group who performed a sling exercise. Both the experimental and control groups underwent transcutaneous electrical nerve stimulation and performed continuous passive motion. Muscle activity was measured with a surface electromyograph and pain was measured with the visual analogue scale. The paired t-test was used to compare groups before and after the experiment. The independent t-test was conducted to assess differences in the degree of change between the two groups before and after the experiment. Results: Within-group comparison of both the experimental and control group showed significant differences in muscle activity and pain. Comparison of the groups revealed significant differences in muscle activity between groups group, but not in pain. Conclusion: These results indicate that sling exercise is effective for improving muscle activity of rotator cuff repair patients.